AVALON DERLACKI PRENTISS, LPC

LPC

Mental Health Counselor

NPI: 1174196299Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

8188(ID)

Contact & Hours

Address: 1015 W HAYS ST STE 102
BOISE, ID 83702
Phone: (208) 207-8889

Quick Facts

NPI: 1174196299
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile